Providing healthcare through “value shops”: impact on professional fulfilment for physicians and nurses

Gadolin, Christian; Andersson, Thomas; Eriksson, Erik; Hellström, Andreas

doi:10.1108/ijhg-12-2019-0081

Cited by 8 publications

(8 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These strong empirical foundations underpinning the co-creation roadmap enhance the theoretical validity and clinical relevance, with several possible evidence-based actions derived from our included literature. Quality models which are co-created with stakeholders and are able to sustain in the workflow are more likely to deliver health benefits for patients and healthcare stakeholders [ 38 , 39 ]. Furthermore, by letting quality grow from bottom-up, organisations can regain their diminished commitment to quality which was due to the imposed and bureaucratic feeling of accreditation systems [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

A co-creation roadmap towards sustainable quality of care: A multi-method study

et al. 2022

View full text Add to dashboard Cite

Objective Hospitals demonstrated increased efforts into quality improvement over the past years. Their growing commitment to quality combined with a heterogeneity in perceptions among healthcare stakeholders cause concerns on the sustainable incorporation of quality into the daily workflow. Questions are raised on the drivers for a sustainable hospital quality policy. We aimed to identify drivers and incorporate them into a new, unique roadmap towards sustainable quality of care in hospitals. Design A multi-method design guided by an eight-phase approach to develop a conceptual framework consists of multiple, iterative phases of data collection, synthesis and validation. Starting with a narrative review followed by a qualitative in-depth analysis and including feedback of national and international healthcare stakeholders. Setting Hospitals. Results The narrative review included 59 relevant papers focusing on quality improvement and the sustainability of these improved quality results. By integrating, synthesising and resynthesizing concepts during thematic and content analysis, the narrative review evolved to an integrated, co-creation roadmap. The Flanders Quality Model (FlaQuM) is presented as a driver diagram that features six primary drivers for a sustainable quality policy: (1) Quality Design and Planning, (2) Quality Control, (3) Quality Improvement, (4) Quality Leadership, (5) Quality Culture and (6) Quality Context. Six primary drivers are described in 19 building blocks (secondary drivers) and 104 evidence-based action fields. Conclusions The framework suggests that a manageable number of drivers, building blocks and action fields may support the sustainable incorporation of quality into the daily workflow. Therefore, FlaQuM can serve as a useful roadmap for future sustainable quality policies in hospitals and for future empirical and theoretical work in sustainable quality management.

show abstract

Section: Discussionmentioning

confidence: 99%

A co-creation roadmap towards sustainable quality of care: A multi-method study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…It also facilitated their ability to be available to the nurses, which is also closely related to the direct care. These results indicate that the ability to pursue professional fulfilment, and hence be able to perform tasks perceived as close to one's 'professional core' (Gadolin et al, 2020), is an important resource for care unit managers not least when the organization is under heavy stress. Similar results have been highlighted…”

Section: Discussionmentioning

confidence: 90%

Managing health care under heavy stress: Effects of the COVID‐19 pandemic on care unit managers' ability to support the nurses—A mixed‐methods approach

Gadolin

Skyvell‐Nilsson

Larsman

et al. 2022

J Nursing Management

Self Cite

View full text Add to dashboard Cite

Aim(s):This study aims to investigate care unit managers' perceptions of how the COVID-19 pandemic influenced their ability to support the nurses. Background:The COVID-19 pandemic placed extreme pressure on health care organizations. More knowledge regarding how the pandemic influenced care unit managers' ability to support nurses is central to ensuring high-quality health care in future crises. Method(s):A mixed-methods study in Swedish hospitals with a survey (n = 128) and interviews (n = 20) with care unit managers.Results: Approximately half of the managers reported having spent more time available to and supporting the nurses. Availability was positively predicted by their perceived organizational support while negatively by their job demands. These job demands concerned meeting staff anxiety and managing organizational restructuring.Full focus on direct patient care and strong professional and social support were important job resources. Conclusion(s):For care unit managers to effectively support the nurses during a crisis, they need proficient job resources and moderate job demands. Managers' perceived organizational support positively affects the quality of their crisis leadership.Creating arenas in which staff collegiality can form and develop is beneficial for the ability to meet future crises.Implications for Nursing Management: This study specifies important job resources that should be acknowledged and reinforced to strengthen the ability of care unit managers to actively support the nurses during a crisis.

show abstract

“… 127 One way to achieve professional fulfillment, vital in achieving high quality system improvements, is to facilitate ‘value shops’ whereby shared values are generated by mobilising resources and activities to resolve particular challenges within the system. 128 These guiding principles and shared values then need to be translated into tangible implementation strategies, allowing managers to demonstrate their shared understanding and frontline workers to recognise and be reassured that co-production at policy level is being translated into practice. At an individual level however, moral understanding can be blocked by lack of self-confidence, doubts about self-knowledge, fears, personality, lack of courage to challenge status-quo, fear of conflict and a sense of powerlessness.…”

Section: Discussionmentioning

confidence: 99%

How International Health System Austerity Responses to the 2008 Financial Crisis Impacted Health System and Workforce Resilience – A Realist Review

Fleming

Caffrey

Belle

et al. 2022

Int J Health Policy Manag

View full text Add to dashboard Cite

Background: The Great Recession, following the 2008 financial crisis, led many governments to adopt programmes of austerity. This had a lasting impact on health system functionality, resources, staff (numbers, motivation and morale) and patient outcomes. This study aimed to understand how health system resilience was impacted and how this affects readiness for subsequent shocks. Methods: A realist review identified legacies associated with austerity (proximal outcomes) and how these impact the distal outcome of health system resilience. EMBASE, CINAHL, MEDLINE, EconLit and Web of Science were searched (2007– May’21), resulting in 1,081 articles. Further theory-driven searches resulted in an additional 60 studies. Descriptive, inductive, deductive and retroductive realist analysis (utilising excel and Nvivo) aided the development of Context, Mechanism, Outcomes Configurations (CMOCs), alongside stakeholder engagement to confirm or refute emerging results. Causal pathways, and the interplay between context and mechanisms that led to proximal and distal outcomes, were revealed. The refined CMOCs and policy recommendations focused primarily on workforce resilience. Results: Five CMOCs demonstrated how austerity-driven policy decisions can impact health systems when driven by the priorities of external agents. This created a real or perceived shift away from the values and interests of health professionals, a distrust in decision-making processes and resistance to change. Their values were at odds with the realities of implementing such policy decisions within sustained restrictive working conditions (rationing of staff, consumables, treatment options). A diminished view of the profession and an inability to provide high-quality, equitable, and needs-led care, alongside stagnant or degraded working conditions, led to moral distress. This can forge legacies that may adversely impact resilience when faced with future shocks. Conclusion: This review reveals the importance of transparent, open communication, in addition to co-produced policies in order to avoid scenarios that can be detrimental to workforce and health system resilience.

show abstract

Providing healthcare through “value shops”: impact on professional fulfilment for physicians and nurses

Cited by 8 publications

References 43 publications

A co-creation roadmap towards sustainable quality of care: A multi-method study

A co-creation roadmap towards sustainable quality of care: A multi-method study

Managing health care under heavy stress: Effects of the COVID‐19 pandemic on care unit managers' ability to support the nurses—A mixed‐methods approach

How International Health System Austerity Responses to the 2008 Financial Crisis Impacted Health System and Workforce Resilience – A Realist Review

Contact Info

Product

Resources

About